ArticleJournal of affective disorders2017
First onset of suicidal thoughts and behaviours in college.
Article in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- The longitudinal course of childhood bullying victimization and associations with self-injurious thoughts and behaviors in children and young people: A systematic review of the literature.Journal of adolescence · 2023Pooled it
- Systematic review and narrative synthesis of suicide prevention in high-schools and universities: a research agenda for evidence-based practice.BMC public health · 2021Pooled it
- Investigating insomnia as a cross-sectional and longitudinal predictor of loneliness: Findings from six samples.Psychiatry research · 2017Pooled it
- Efficacy of an unguided internet-based self-help intervention for social anxiety disorder in university students: A randomized controlled trial.International journal of methods in psychiatric research · 2019Trial
- Prevalence and associations of lifetime, 12-month, and 30-day suicidal thoughts and behaviours among 3,702 First-Year university students in New Zealand.Social psychiatry and psychiatric epidemiology · 2026Article
- Scalable prediction of suicidal risk in university students: a three steps machine learning approach in university settings.Scientific reports · 2026Article
- Modeling suicidal thoughts and behaviors in university students: integrating suicide theory with interpretable machine learning.BMC psychiatry · 2026Article
- Internalized Stigma and Help-Seeking Across Problems and Targets.The journal of behavioral health services & research · 2026Article
- A methodological proof-of-concept of a data-driven, personalized, blended digital health intervention for suicidal thoughts and behaviors: A case series.Internet interventions · 2026Article
- Identifying subgroups of college students at risk of suicide: the impact of Andersen's model on help-seeking intentions and the role of others' positive help-seeking experiences.BMC psychiatry · 2026Article
- Mental Health Problems Among UK Undergraduates: A Comparison Study of Autistic and Non-autistic Students.Journal of autism and developmental disorders · 2025Article
- Past suicide attempt is associated with a weaker decision-making bias to actively escape from suicide-related stimuli.Journal of psychopathology and clinical science · 2025Article
- Intersectional marginalized identities as predictors of time until first reported suicide attempt among preadolescent youth using survival analysis.Journal of child psychology and psychiatry, and allied disciplines · 2025Article
- Development and validation of a predictive model for suicidal thoughts and behaviors among freshmen.BMC psychiatry · 2025Article
- Eating disorders and psychiatric comorbidity among first-year university students in Sweden: Prevalence and risk factors.Journal of eating disorders · 2025Article
- The contribution of childhood adversities to the persistence of severe role impairment among college students: a follow-up study.Social psychiatry and psychiatric epidemiology · 2025Article
- Emotional and Behavioural Problems in Spanish University Students: Association with Lifestyle Habits and Mental Well-Being.Healthcare (Basel, Switzerland) · 2024Article
- Development and evaluation of a predictive algorithm and telehealth intervention to reduce suicidal behavior among university students.Psychological medicine · 2024Article
- Digital Phenotyping for Real-Time Monitoring of Nonsuicidal Self-Injury: Protocol for a Prospective Observational Study.JMIR research protocols · 2024Article
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Corrections and comments
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Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundCollege students are a worldwide increasing group of young people at risk for suicidal thoughts and behaviours (STB). However, no previous studies have prospectively investigated the first onset of STB during the college period.
methodsUsing longitudinal data from the Leuven College Surveys, 2337 (response rate [RR]=66.6%) incoming freshmen provided baseline data on STB, parental psychopathology, childhood-adolescent traumatic experiences, 12-month risk for mental disorders, and 12-month stressful experiences. A total of 1253 baseline respondents provided data on 12-month STB in a two-year annual follow-up survey (conditional RR=53.6%; college dropout adjusted conditional RR=70.2%).
resultsOne-year incidence of first-onset STB was 4.8-6.4%. Effect sizes of the included risk factors varied considerably whether viewed from individual-level (ORs=1.91-17.58) or population-level perspective (PARPs=3.4-34.3%). Dating violence prior to the age of 17, physical abuse prior to the age of 17, and 12-month betrayal by someone else than the partner were most strong predictors for first-onset suicidal ideation (ORs=4.23-12.25; PARPs=8.7-27.1%) and plans (ORs=6.57-17.58; PARPs=15.2-34.3%). Multivariate prediction (AUC=0.84-0.91) revealed that 50.7-65.7% of first-onset STB cases were concentrated in the 10% at highest predicted risk. LIMITATIONS: As this is a first investigation of STB onset in college, future studies should use validation samples to test the accuracy of our multivariate prediction model.
conclusionsThe first onset of STB in college appears to be higher than in the general population. Screening at college entrance is a promising strategy to identify those students at highest prospective risk, enabling the cost-efficient clinical assessment of young adults in college.
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Registered trials
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